Which form of parent-teacher communication do you prefer (call, email or text)? Please list the email/s or phone number/s to contact. *
Your answer
With whom does the child reside and who are his/her significant caregivers (parents, custody, grandparents, etc.) *
Your answer
Please list any siblings your child has and what school they attend.
Your answer
In the event we could not reach the parent/guardian, please list the emergency contacts we should call. Please include the persons name, relationship and contact number. *
Your answer
Over the past month, how is your child functioning in the following areas: *
Not an area of concern
Area of concern
Sleeping
Eating
Energy level
Mood
Behavior
Social
Feelings about school
Not an area of concern
Area of concern
Sleeping
Eating
Energy level
Mood
Behavior
Social
Feelings about school
Please provide any other changes or concerns that you have observed and would like your child's teacher to be aware of:
Your answer
What learning platform did your child participate in last year? Check all that apply. *
Required
Please list any food sensitivities or allergies your child has. *
Your answer
What are your child's strengths? List as many as you can both academic and non-academic. *
Your answer
Academically, this year I would like to see my child grow and develop in these areas: *
Your answer
Socially and emotionally, I would like to see my child grow and develop in these areas: *
Your answer
Is there any other information your child's teacher should know?
Your answer
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